Materials

There are two ways to get materials from Cover Virginia.

Need one copy - PRINT FROM WEB: You can print materials right from this website. Just click on the picture of the document
you want below to open the document in PDF format. If you do not have Adobe Acrobat Reader, you may download it
here before viewing these materials.

Need multiple copies - ORDER ONLINE: Many materials are available for ordering in bulk quantities. You can order materials
online by filling out and submitting a simple, pop-up form.
Just click Order Online. Your order will be shipped to you free of charge within two weeks.

*Spanish will be available for Online Ordering beginning November 12th

Additional Person Single Page Supplement can be used with an application to apply for additional people in a person’s
household. The Additional Person Single Page Supplement is not a stand-alone application. You must also complete the Application for Health Coverage
and Help Paying Costs and submit the Additional Person Single Page Supplement with the application.

Appendix E - Medically Needy - Spenddown is for children and pregnant women who have income greater than the Medicaid limit and would like to be evaluated for a spenddown based on income,
resources and medical expenses.

Appendix F - Nursing or Community Based Care is for those who need help with everyday things to live safely in their home, or have a physical disability or long term disease, mental or emotional illness, or addiction problem.

The New Adult Health Coverage Flyer is a helpful resource that provides information on new health coverage for Virginia
adults. The flyer is available in English, Spanish, and as a double-sided flyer with English on one side and Spanish on the other side.

The New Adult Health Coverage Poster is a helpful resource community partners can display that provides information on
new health coverage for Virginia adults. The 11" x 17" poster is available for print in English or Spanish, and is also available for order
double-sided, with English on one side and Spanish on the other side.

Central/Halifax and Tidewater Regions FAMIS MCO Plan Comparison Chart lists Managed Care Organizations (MCOs) that cover children enrolled in
FAMIS in the Central, Halifax and Tidewater areas of Virginia. This chart is only available for order by Department of Social Services (DSS) offices.

Winchester, Northern Virginia and Charlottesville Region FAMIS MCO Plan Comparison Chart lists Managed Care Organizations (MCOs) that
cover children enrolled in FAMIS in the Winchester, Northern Virginia and Charlottesville areas of Virginia. This chart is only available for order by Department
of Social Services (DSS) offices.

Far Southwest and Roanoke/Allegheny Region FAMIS MCO Plan Comparison Chart lists Managed Care Organizations (MCOs) that cover
children enrolled in FAMIS in the CentralFar Southwest and Roanoke Allegheny areas of Virginia. This chart is only available for order by Department of
Social Services (DSS) offices..

The 2018 Back To School FAMIS Flyer is the yellow flyer that is distributed to all participating public schools in the state, offering information on Virginia’s health insurance program for uninsured children.

The flyer is available in English, Spanish, and as a double-sided flyer with English on one side and Spanish on the other side.

The FAMIS Flyer is a helpful resource that provides information on Virginia’s health insurance program for uninsured children. The flyer is available in English, Spanish, and as a double-sided flyer with English on one side and Spanish on the other side.

The FAMIS Poster is a helpful resource community partners can display that provides information on Virginia’s health insurance program for uninsured children. The 11" x 17" poster is available for print in English or Spanish, and is also available for order double-sided, with English on one side and Spanish on the other side.

The FAMIS MOMS Flyer offers information on Virginia’s health insurance program for uninsured pregnant women. The flyer is available in English, Spanish, and as a double-sided flyer with English on one side and Spanish on the other side.